The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study

Hübner, Martin; Addor, Valérie; Slieker, Juliette; Griesser, Anne-Claude; Lécureux, Estelle; Blanc, Catherine; Demartines, Nicolas

doi:10.1016/j.ijsu.2015.10.025

Cited by 72 publications

(56 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A real team work is essential to the success of this intervention and the nurse is the link of team, managing and executing all care elements, resulting in a fulfillment of protocol. The scientific literature shows that the higher compliance to the ERAS is related to a reduced length of stay and the nursing workload (19)(20) . It is important to highlight that there are important activities of nursing that could be implemented during the perioperative period, related to a better quality of life, comfort and satisfaction of patients.…”

Section: The Projects Enhanced Recovery After Surgery (Eras) and The mentioning

confidence: 99%

Perioperative fasting time among cancer patients submitted to gastrointestinal surgeries

Pereira

Turrini

Poveda

2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective:To identify the length of perioperative fasting among patients submitted to gastrointestinal cancer surgeries. Method: Retrospective cohort study, developed by consulting the medical records of 128 patients submitted to gastrointestinal cancer surgeries. Results: The mean of total length of fasting was 107.6 hours. The total length of fasting was significantly associated with the number of symptoms presented before (p=0.000) and after the surgery (p=0.007), the length of hospital stay (p=0.000), blood transfusion (p=0.013), nasogastric tube (p=0.001) and nasojejunal tube (p=0,003), postoperative admission at ICU (p=0.002), postoperative death (p=0.000) and length of preoperative fasting (p=0.000). Conclusion: The length of fasting is associated with complications that affect the quality of the patients' postoperative recovery and nurses' work. The nursing team should be alert to this aspect and being responsible for overseeing the patients' interest, should not permit the unnecessary extension of fasting.

show abstract

Section: The Projects Enhanced Recovery After Surgery (Eras) and The mentioning

confidence: 99%

Perioperative fasting time among cancer patients submitted to gastrointestinal surgeries

Pereira

Turrini

Poveda

2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…journals.viamedica.pl/ginekologia_polska patients' perceptions about surgery. Besides, ERAS protocol targets to minimize pain, complication, and dysfunctions of the organ systems which may occur after discharge [2,5]. ERAS protocol was firstly applied in 1997 in colorectal surgery, and successful results were obtained [6].…”

Section: Introductionmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) versus conventional postoperative care in patients undergoing abdominal hysterectomies

2018

View full text Add to dashboard Cite

Objectives: In the present study, we aimed to compare the postoperative compliance and complications between ERAS and conventional postoperative care in patients undergoing abdominal hysterectomies. Material and methods:This is the prospective, randomized, controlled trial, which involved 62 patients, who underwent abdominal hysterectomy between December 2016 to February 2017. A total of 30 patients formed the ERAS group. A total of 32 patients who received conventional perioperative care and matched for age, body mass index (BMI) and American Society of Anesthesiologists score were assigned as a control group. Groups were compared in terms of patient characteristics [age, body mass index, ASA Score, parity, diagnosis, type of surgery, and perioperative intravenous fluids], postoperative compliance (postoperative intravenous fluids, time to first flatus, first defecation, ambulation, eating solid food, and postoperative hospital stay), and postoperative complications.Results: Peri-and post-operative administrated intravenous fluids were significantly lower in the ERAS group (p < 0.001 for both). Time to first flatus (p = 0.001), time to first defecation (p < 0.001), and time to eating solid food (p < 0.001) were all significantly shorter in the ERAS group. Post-operative early mobilization on the first postoperative day was achieved in eight (26.7%) patients in the ERAS group. There were no significant differences in complications. One (3.3%) patient in the ERAS Group and 11 (34.4%) patients in the Conventional Group required hospital readmission after discharge (p = 0.002). Conclusion:The ERAS protocol seems to be a simple tool for reducing the incidence of postoperative complications and shortening hospitalization.

show abstract

“…The beneficial effect of standardization has been repeatedly shown within Enhanced Revovery After Surgery (ERAS) pathways [16], coming along with decreased nursing workload [17] and increased patient and provider satisfaction [4]. Further, besides clinical benefits, economically relevant benefits for the utilization of standardised clinical pathways with reduction in use of resources have been described [18].…”

Section: Discussionmentioning

confidence: 99%

Is standardized care feasible in the emergency setting? A case matched analysis of patients undergoing laparoscopic cholecystectomy

et al. 2016

Self Cite

View full text Add to dashboard Cite

BackgroundImmediate laparoscopic cholecystectomy is the accepted standard for the treatment of acute cholecystitis. The aim of the present study was to evaluate the feasibility of a standardized approach with tailored care maps for pre- and postoperative care by comparing pain, nausea and patient satisfaction after elective and emergent laparoscopic cholecystectomy.MethodsFrom January 2014 until April 2015, data on pain and nausea management were prospectively recorded for all elective and emergency procedures in the department of visceral surgery. This prospective observational study compared consecutive laparoscopic elective vs. emergency cholecystectomies. Visual analogue scales (VAS) were used to measure pain, nausea, and satisfaction from recovery room until 96 hours postoperatively.ResultsFinal analysis included 168 (79%) elective cholecystectomies and 44 (21%) emergent procedures. Demographics (Age, gender, BMI and ASA-scores) were comparable between the 2 groups. In the emergency group, patients did not receive anxiolytic medication (0% vs.13%, p = 0.009) and less postoperative nausea and vomiting (PONV) prophylaxis (77% vs. 97% p = <0.001). Perioperative pain management was similar in terms of opioid consumption (median amount of fentanyl 450ug [IQR 350-500] vs. 450ug [375-550], p = 0.456) and wound infiltration rates (24% vs. 25%, p = 0.799). Postoperative consumption of paracetamol, metamizole and opiod medications were similar between the 2 groups. VAS scores for pain (p = 0.191) and nausea (p = 0.392) were low for both groups. Patient satisfaction was equally high in both clinical settings (VAS 8.5 ± 1.1 vs. 8.6 ± 1.1, p = 0.68).ConclusionsA standardized pathway allows equally successful control of pain and nausea after both elective and emergency laparoscopic cholecystectomy.This study was retrospectively registered by March 01, 2016 in the following trial register: www.researchregistry.com (UIN researchregistry993)Electronic supplementary materialThe online version of this article (doi:10.1186/s12893-016-0194-6) contains supplementary material, which is available to authorized users.

show abstract

The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study

Abstract: Nursing workload is--against a common belief--decreased by systematic implementation of enhance recovery protocol. The higher the compliance with the pathway, the lower the burden for the nurses!

Cited by 72 publications

References 12 publications

Perioperative fasting time among cancer patients submitted to gastrointestinal surgeries

Perioperative fasting time among cancer patients submitted to gastrointestinal surgeries

Enhanced recovery after surgery (ERAS) versus conventional postoperative care in patients undergoing abdominal hysterectomies

Is standardized care feasible in the emergency setting? A case matched analysis of patients undergoing laparoscopic cholecystectomy

Contact Info

Product

Resources

About